Resilience Testing of Health Systems: How Can It Be Done?

Heather L. Rogers, Pedro Barros, Jan De Maeseneer, Lasse Lehtonen, Christos Lionis, Martin McKee, Luigi Siciliani, Dorothea Stahl, Jelka Zaletel and Dionne Kringos
Additional contact information
Heather L. Rogers: Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
Jan De Maeseneer: Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium
Lasse Lehtonen: Helsinki University Hospital and University of Helsinki, 00029 Helsinki, Finland
Christos Lionis: Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece
Martin McKee: Department of Health Services and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK
Dorothea Stahl: Klinikum Bielefeld, Universitätsklinikum OWL der Universität Bielefeld, 33604 Bielefeld, Germany
Jelka Zaletel: National Insitute of Public Health Slovenia and University Medical Center, 1000 Ljubljana, Slovenia
Dionne Kringos: Amsterdam UMC, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands

IJERPH, 2021, vol. 18, issue 9, 1-17

Abstract: The resilience of health systems has received considerable attention as of late, yet little is known about what a resilience test might look like. We develop a resilience test concept and methodology. We describe key components of a toolkit and a 5-phased approach to implementation of resilience testing that can be adapted to individual health systems. We develop a methodology for a test that is balanced in terms of standardization and system-specific characteristics/needs. We specify how to work with diverse stakeholders from the health ecosystem via participatory processes to assess and identify recommendations for health system strengthening. The proposed resilience test toolkit consists of “what if” adverse scenarios, a menu of health system performance elements and indicators based on an input-output-outcomes framework, a discussion guide for each adverse scenario, and a traffic light scorecard template. The five phases of implementation include Phase 0, a preparatory phase to adapt the toolkit materials; Phase 1: facilitated discussion groups with stakeholders regarding the adverse scenarios; Phase 2: supplemental data collection of relevant quantitative indicators; Phase 3: summarization of results; Phase 4: action planning and health system transformation. The toolkit and 5-phased approach can support countries to test resilience of health systems, and provides a concrete roadmap to its implementation.

Keywords: COVID-19; health system; resilience testing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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